Ruaux C, Latil d'Albertas D, Serrano E, Pessey J J, Lacomme Y
Clinique d'O.R.L. et de Chirurgie Maxillo-faciale, C.H.U. Toulouse-Rangueil.
Ann Otolaryngol Chir Cervicofac. 1994;111(3):161-7.
The authors report a retrospective study of 351 parotidectomies observed during a 28 years period. The average follow-up is 28 months. Preoperative and postoperative facial nerve function, type of parotidectomy, surgical management of facial nerve, and histologic diagnosis according to the revised WHO classification (1990) are presented. Type of parotidectomy and degree of tumor malignancy are statistically analyzed. It seems that occurrence of post-operative facial nerve dysfunction depends on radical parotidectomy, whereas long term dysfunction is determined by tumor malignancy. Malignant epithelial tumors of the major salivary glands proved to be radiosensitive. Apart from preoperative dysfunction, clinical involvement and impossible facial nerve dissection, the authors insist upon sparing the facial nerve, even in the case of microscopic residual tumors, and prefer postoperative radiotherapy.
作者报告了一项对28年间观察到的351例腮腺切除术的回顾性研究。平均随访时间为28个月。文中呈现了术前和术后的面神经功能、腮腺切除术的类型、面神经的手术处理以及根据世界卫生组织修订分类（1990年）的组织学诊断。对腮腺切除术的类型和肿瘤恶性程度进行了统计学分析。术后面神经功能障碍的发生似乎取决于根治性腮腺切除术，而长期功能障碍则由肿瘤恶性程度决定。主要唾液腺的恶性上皮性肿瘤被证明对放疗敏感。除了术前功能障碍、临床受累以及无法进行面神经解剖外，作者坚持保留面神经，即使在存在微小残留肿瘤的情况下，并且更倾向于术后放疗。
